Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | PD1812 | MA |
N | 213ES0131X | Foot Surgery | PD1812 | MA |
NPI | 1467456152 |
---|---|
Provider Name | Dr. David Benjamin Alper |
First Address | Belmont, MA 02478-2751 |
Second Address | Belmont, MA 02478-2751 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2005 |
Last Update Date | 26/04/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0361321 | (05) | MA |
T58769 | (02) | MA |